Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.96 / $2,464.00 / $9,577.00	Facility		$1.96	$2,464.00	$9,577.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,251.89 / $3,748.50 / $5,314.28	Facility	50	$3,251.89	$3,748.50	$5,314.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $282.68 / $1,225.28	Professional		$54.38	$282.68	$1,225.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $88.38 / $4,134.38 / $5,788.50	Professional	50	$88.38	$4,134.38	$5,788.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.66 / $250.18 / $1,053.07	Professional		$154.66	$250.18	$1,053.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.52 / $324.76 / $1,491.64	Facility		$73.52	$324.76	$1,491.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $161.26 / $491.32 / $1,365.00	Professional		$161.26	$491.32	$1,365.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $365.25 / $1,120.09	Professional		$220.00	$365.25	$1,120.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.52 / $324.76 / $1,491.64	Facility		$73.52	$324.76	$1,491.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $189.20 / $365.25 / $1,120.09	Professional		$189.20	$365.25	$1,120.09
United Facility/Professional Professional Modifier Low / Median / High Price $421.34 / $635.64 / $958.55	Professional		$421.34	$635.64	$958.55